Individual
DR. JENNIFER ELIZABETH NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
18223 CARSON CT NW, ELK RIVER, MN 55330-2733
(763) 441-7030
Mailing address
19460 MARMOSET ST NW, ANOKA, MN 55303-9507
(763) 436-5669
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D13081
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/23/2012
Last updated
05/17/2012
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